Individual
DR. PAUL BORDEN INGRAM IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
154 MEDICAL PARK LOOP, SYLVA, NC 28779-5271
(828) 631-3973
(828) 631-9280
Mailing address
7035 95TH ST, LUBBOCK, TX 79424-7546
(785) 390-9743
(828) 631-9280
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38492
TX
103T00000X
Psychologist
3879
NC
Other
Enumeration date
11/20/2009
Last updated
03/03/2021
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